Vermont will have the highest average monthly premiums for the lowest-cost Silver-tier marketplace plan in 2026, while New Hampshire will have the lowest, according to KFF. The national average is $611. Premiums were analyzed using the lowest-cost premium for a…
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Eli Lilly plans to launch a direct-to-employer model for its GLP-1 medications in early 2026 in a move aimed at giving companies more flexibility in designing obesity management benefits for their employees. The model will include three components: flexible benefit…
Oregon health regulators have flagged three payers for “unreasonably high healthcare cost growth in 2023.” In an October report, the Oregon Health Authority said that Moda Health’s Medicare Advantage plans increased costs by 15.4%, PacificSource’s commercial plans grew 7.3%, and…
Over one-half of eligible Medicare beneficiaries are enrolled in Medicare Advantage plans this year, according to KFF. Given that enrollment and recent scrutiny, all eyes are on how the private alternative to traditional Medicare gets paid. A Nov. 20 KFF…
Vermont has the highest average ACA benchmark premium in 2026, while New Hampshire has the lowest, according to KFF. The U.S. average is $625. Premiums were analyzed using the second-lowest cost silver plan premium for a 40-year-old in each county…
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Obesity treatment is entering a transformative era — and few therapies have garnered more attention or raised more questions than GLP-1 receptor agonists. In a featured session at Becker’s Fall 2025 Payer Issues Roundtable, Lia Gass Rodriguez, MD, chief medical…
Wyoming’s proposal to CMS for the Rural Health Transformation Program included a pitch for “BearCare,” a state-operated public benefit plan to cover severe emergencies. Among them, bear attacks. Unlike other federal relief initiatives, the Rural Health Transformation Program is a…
Blue Cross of Idaho requested the Idaho Department of Insurance investigate Nutex Health after months of failed negotiations with Nutex’s Post Falls (Idaho) ER & Hospital, according to a Nov. 17 news release. The insurer expressed concern over the hospital’s…
Health plans are no longer treating interoperability as a check-the-box requirement; they are embracing it as a driver of strategic transformation. That was the core message from a featured session at Becker’s Fall 2025 Payer Issues Roundtable, where a panel…
The Cigna Group is consolidating its board committee structure, dissolving its standalone compliance committee and redistributing oversight responsibilities across other committees, effective Jan. 1. The board approved the changes in late October, according to an SEC filing. The restructuring follows…